Active NPI
Lila G Jacobs
- Speech-Language Pathologist
- Wilmington, NC
National Provider Identifier
1598835563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12828
- Practice address
- 2116 Capital Dr Ste 100
Wilmington, NC 28405-6482 - Phone
- (910) 313-2111
- Fax
- (910) 313-2119
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12828 | NC | Primary |
Addresses
Primary practice location
2116 Capital Dr Ste 100
Wilmington, NC 28405-6482
Mailing address
1312 Eastbourne Dr
Wilmington, NC 28411-0028
Phone (815) 922-1218
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12828 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OT Solutions Inc. | Past | Accepting new patients | |
| Physiotherapy Associates Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1780724401
-
- Rehabilitation Clinic/Center
- Crystal Lake, IL
- NPI 1770615676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1598835563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1312 EASTBOURNE DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284110028",
"telephone_number": "815-922-1218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2116 CAPITAL DR STE 100",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284056482",
"telephone_number": "910-313-2111",
"fax_number": "910-313-2119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "LILA",
"middle_name": "G",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "12828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.